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Protonix

By X. Ramirez. Arkansas Tech University.

They are available in tablets (prednisone) and inhalers such as fluticasone (Flovent) purchase protonix 20mg line gastritis diet , budesonide (Pulmicort) generic protonix 40 mg with amex gastritis diet , and beclomethasone (Beclovent). They may take a few hours or even days to work, so they are not to be used as rescue medications. Long-term use of these drugs can cause serious side effects, including cataracts, osteoporosis, muscle weakness, decreased resistance to infection, and thinning of the skin. The inhalers are safer than oral ste- roids, but they may still increase risk of osteoporosis when taken over the long term and can cause thrush and coughing. Using a spacer device (Aerochamber) will help improve delivery of the medication to your lungs and can reduce the risk of thrush and mouth irritation. Other drugs used to reduce inflammation include montelukast (Singulair), nedocromil (Tilade), and cromolyn (Intal). Those with exercise-induced asthma may need only a bronchodilator when exer- cising. For asthma triggered by allergies, injections to desensitize you to the allergen can be given. There is also a new drug in Canada called omalizumab (Xolair), which blocks allergy-causing antibodies. Foods to avoid: • Dairy products can increase mucus formation, which can affect breathing. Lifestyle Suggestions • Identify and avoid indoor and outdoor allergens and irritants. Control pet dander by having your pets groomed regularly and vacuuming your carpets and furniture. During cold months, exercise indoors or wear a face mask to warm the air you breathe. Be aware that if your asthma is not under control, exercise can trigger an attack. Top Recommended Supplements The supplements listed here can be helpful for managing mild to moderate cases of asthma. However, you should never stop taking your asthma medications unless advised to do so by your doctor. Pycnogenol: An extract from pine bark that has potent antioxidant and anti-inflammatory A properties. Some research has shown that it can significantly improve lung function and asthma symptoms. One of these studies involved children and found that it reduced the need for rescue medication. Dosage: Adults should take 100 mg daily; children should take 1 mg per pound of body weight per day. Several studies have shown benefits for reducing the severity and frequency of asthma attacks. Some research has shown that it can reduce the frequency of asthma attacks and measurements of breathing capacity. Ephedra (Ephedra sinica): Ephedra contains alkaloids, ephedrine, and pseudoephedrine, which are used in decongestants. Ephedra can raise blood pressure and heart rate, and may cause insomnia, irritability, and anxiety. Some research has found that supple- ments can decrease the frequency and severity of asthma attacks. Eat more fruits, vegetables, garlic, onions, and fish, and drink plenty of water to stay hydrated. Monitor your breathing with a peak flow meter and see your doctor regularly for checkups. These fungi, called dermatophytes, infect the skin of the foot, which may result in an intensely itchy, red, scaly rash on the soles of the A feet and between the toes. The fungi that cause athlete’s foot grow in warm, moist environments, so it may be picked up easily by walking barefoot in public areas such as bathrooms, swimming pools, saunas, showers, and locker rooms.

Physical exercise provides a safe and effective method for discharging pent-up tension purchase 40 mg protonix mastercard gastritis diet indian. Anger may be displaced onto the nurse or therapist buy protonix 20 mg on-line gastritis emedicine, and cau- tion must be taken to guard against the negative effects of countertransference. These are very difficult clients who have the capacity for eliciting a whole array of negative feelings from the therapist. These feelings must be acknowledged but not allowed to interfere with the therapeutic process. This knowledge about normal grieving may help fa- cilitate the client’s progression toward resolution of grief. Positive reinforcement enhances self-esteem and encourages repetition of desirable behaviors. It is appropriate to let the client know when he or she has done something that has generated angry feelings in you. Role-modeling ways to express anger in an appropriate manner is a powerful learning tool. Set limits on acting-out behaviors and explain consequences of violation of those limits. Client lacks sufficient self- control to limit maladaptive behaviors; therefore, assistance is required from staff. Without consistency on the part of all staff members working with the client, a positive outcome will not be achieved. Provide a safe and protective environment for the client against risk of self-directed violence. Client is able to verbalize ways in which anger and acting-out behaviors are associated with maladaptive grieving. Client is expresses anger and hostility outwardly in a safe and acceptable manner. Related/Risk Factors (“related to”) [Substance use/detoxification at time of incarceration, exhibit- ing any of the following: Substance intoxication Substance withdrawal Disorientation Seizures Hallucinations Psychomotor agitation Unstable vital signs Delirium Flashbacks Panic level of anxiety] Goals/Objectives Short-term Goal Client’s condition will stabilize within 72 hours. Assess client’s level of disorientation to determine spe- cific requirements for safety. Knowledge of client’s level of functioning is necessary to formulate appropriate plan of care. Knowledge regarding substance ingestion is important for accurate as- sessment of client condition. Observe client behaviors frequently; assign staff on one- to-one basis if condition warrants it; accompany and assist client when ambulating; use wheelchair for transporting long distances. Pad headboard and side rails of bed with thick towels to protect client in case of seizure. Use mechanical restraints as necessary to protect client if excessive hyperactivity accompanies the disorientation. Ensure that smoking materials and other potentially harmful objects are stored outside client’s access. Monitor vital signs every 15 minutes initially and less fre- quently as acute symptoms subside. Vital signs provide the most reliable information regarding client condition and need for medication during acute detoxification period. Com- mon medical interventions for detoxification from the fol- lowing substances include: a. Benzodiazepines are the most widely used group of drugs for substitution therapy in alcohol withdrawal. The approach to treatment is to start with relatively high doses and reduce the dosage by 20% to 25% each day until withdrawal is complete. In clients with liver disease, ac- cumulation of the longer-acting agents, such as chlordi- azepoxide (Librium), may be problematic, and the use of the shorter-acting benzodiazepine, oxazepam (Serax), is more appropriate. Some physicians may order anticonvul- sant medication to be used prophylactically; however, this is not a universal intervention. Multivitamin therapy, in combination with daily thiamine (either orally or by injec- tion), is common protocol. Narcotic antagonists, such as naloxone (Narcan), naltrexone (ReVia), or nalmefene (Revex), are admin- istered for opioid intoxication.

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If you are coping with a health condition listed in this book purchase protonix 20 mg with amex gastritis diet , it is not my intention that you follow every recommendation I make trusted 40mg protonix gastritis duodenitis diet. Instead, implement as many of the lifestyle and dietary strategies as possible and discuss my supplement recommendations with your health care provider. Under my “Top Recommended Supplements” section I list those that are supported by scientific research to offer benefits for the particular con- dition. Next, I list “Complementary Supplements”—those that offer some benefits or play a supportive role; these would be secondary considerations. Since many supplements have similar effects on the body, and there are potential interactions between drugs and supplements, it is recommended that you consult with your health care provider before taking a new product. Unlike many drugs, 4 | Introduction supplements may take weeks to months before the full effect is achieved, so patience is required. In addition to your primary care provider, you may want to look for addition- al health care providers that offer different perspectives, such as a naturopathic or homeopathic doctor, registered dietitian, massage therapist, acupuncturist, or chi- ropractor. When looking for alternative health care providers, make sure they are properly trained and always check references. You may also want to find a pharmacist in your area who, like myself, has a broad range of knowledge in natural medicine. Pharmacists are always available, without an appointment, to answer questions and discuss your concerns, especially about medications. Section Four contains the appendices—the supplementry charts, tables, and re- sources that are referred to throughout this book. That discovery set a course for my future that has taken me around the world from phar- macies and medical clinics, to lecture halls and conferences, through the writing of several health books, and finally to the publication of this reference guide. This latest book reflects many years of work and hundreds of hours of research, as well as my sincere desire to help Canadians achieve better health. Learn about the power of nutrition, exercise, supplements, stress management, and other lifestyle factors in the prevention of disease and take the necessary steps today. If you are currently struggling with a health problem, realize that there are options, and that a plan that incorporates a variety of healing modalities will most likely provide you with the best possible outcome. I hope I’ve provided you with a useful resource to achieve optimum health for you and your family. I wish you all the best as you create your own prescription for successful and healthy living! They are called “macro” because we need these nutrients in large quantities compared to the micro- nutrients (vitamins and minerals), which are needed in smaller quantities. In this section I will explain the various macronutrients, recommended intakes, and the best food sources. Macronutrients provide us with calories as follows: Carbohydrate: 4 calories per gram Protein: 4 calories per gram Fat: 9 calories per gram For example: If a food product contains 10 g of carbohydrate, 2 g of protein, and 1 g of fat per serv- ing, it would provide 10 × 4 = 40 calories from carbohydrate, 2 × 4 = 8 calories from protein, and 1 × 9 = 9 calories from fat for a total calorie count of 57 calories per serving. Food Sources Protein is found in animal products, nuts, legumes, and, to a lesser extent, in fruits and vegetables. When we eat protein the body breaks it down into amino acids, some of which are called essential because they must be provided by the food we eat. Choose free- range and organic wherever possible to reduce ingesting harmful hormones and chemicals. Plant proteins do not contain all the essential amino acids and are considered incomplete proteins. It is possible, though, to combine various plant proteins to get all the essential amino acids. For example, eating oats, lentils, and sunflower seeds either together or separately throughout the day provides all the essential amino acids. You could also combine whole-wheat pasta with white kidney beans or tofu with brown rice to get all the necessary amino acids. There are certain advantages of eating plant over animal proteins—they pro- vide fibre and phytochemicals (antioxidants), do not contain saturated fat, and may play a role in disease prevention. Soy protein, for example, has been shown to significantly lower cholesterol and triglyceride levels, and protect against bone loss. A number of studies have found lower risk of chronic disease in those who eat a plant-based diet. The Institute of Medicine recommends ranges for macronutrient intake that are associated with a reduced risk of chronic disease while providing adequate intake of essential nutrients.

It is accepted that a proportion of patients treated by western allopathic practitioners will develop iatrogenic complications; by the same token it can be expected that those treated by traditional healers might develop similar complications generic protonix 20 mg line gastritis diet . Indeed buy 20mg protonix mastercard gastritis symptoms in elderly, concern has been expressed recently in Australia at the unacceptably high number (80 000/year) of allopathic drug-related hospital- isations, which represent a major (but largely avoidable) public health problem. Possible causative factors were identified as: • inappropriate administration of traditional remedies to neonates and toddlers • excessive or prolonged self-medication, e. The review noted that there was also a need to give attention to possible interactions between traditional and western allopathic medicines taken concurrently. Pending the outcome of toxicological studies, interim preven- tive measures (aimed at reducing the number of hospital admissions due to poisoning by traditional remedies) were suggested. In South Africa some disruption of tradi- tional lifestyle has inevitably accompanied migration from rural to urban milieu. One result is that the traditional healer practising in the city is now Traditional medical practice in Africa | 109 obliged either to travel long distances to obtain necessary materia medica or to rely on imported stock, the origin and mode of collection/preparation of which may be unknown to the prescriber. In the latter case, an important component of traditional quality assurance is lost. The establishment of nurseries and farms supplying plant material of consistent quality would help to minimise accidental overdosage due to natural variability in potency. Another result of urbanisation in South Africa appears to be ‘the irre- sponsible quackery and reckless profiteering racket into which the erstwhile dignified practice of traditional medicine is currently degenerating in the townships and cities’ (Zondi, personal communication in Ref. This is a phenomenon of which traditional healers are well aware and which they seek to eradicate (Kubukeli, personal communication). Registration and certification of traditional healers, as is required for their western allopathic counterparts, have been proposed as a solution and may contribute to a reduction in the incidence of poisoning. The best of drugs, in the hands of the irresponsible or ignorant, is potentially dangerous. It may be necessary to alert the public, by means of a media campaign, to the hazards of self-medication with traditional herbs known to have deleterious side effects. Although it is not possible to say if the South African experience holds true for other African states, it would be surprising if the effects on traditional medical practice of cultural disruption occasioned by urbanisation, political unrest, war or climate change would not be felt throughout the continent. These findings are a cause for concern and further toxicological studies are necessary before the species concerned can be prescribed with confidence. Quality assurance Quality assurance of medicines rests on the establishment of standards relating to their identity, purity and potency. This constitutes the first step 110 | Traditional medicine in the process of bringing traditionally used plant species from the field into the clinic, dispensary and hospital. Similar programmes have been undertaken in Mozambique, Zambia, Zimbabwe, Botswana and Malawi. Primarily a disease of the rural poor in Africa, Plas- modium falciparum malaria causes more deaths than any other infectious agent in young African children and is responsible for almost 40% of these deaths. The efficacy of such remedies has been demonstrated by the successful development of modern antimalarials from traditionally used Cinchona and Artemisia spp. Twenty years later, Africa’s fragile oral knowledge systems are threatened by war, famine, political instability and urbanisation (with concomitant loss of the ‘ecosystem generation’). Unsustainable harvesting practices, delib- erate habitat destruction and climate change threaten the survival of the plant species on which Africa’s traditional healers depend. The greatest threat to traditional medical practice, however, is the burgeoning global population, whose growth and consumption of natural resources places plant diversity at risk in most parts of the world. The quantity of wild plant material exported from Africa and destined for the international pharma- ceutical trade is enormous, but pales into insignificance compared with that required by the trade in crude drugs used in traditional medical practice, within individual states or across regional borders. This has resulted in a disregard for traditional conservation practices and ‘an opportunistic scramble for the last bag of bark, bulbs or roots’. High rates of unemployment and low levels of formal education have also given rise to an increasing number of medicinal plant vendors, plying their trade in the marketplace (Figure 5. The period 2001–10 has been declared the Decade of African Traditional Medicine and an Africa Health Strategy (2007–15) has been formulated, focusing on the strengthening of health systems for equity and development in Africa. Conclusion There is no doubt that Africa’s rich botanical biodiversity and well-estab- lished traditional medical systems can be harnessed for the provision of better healthcare throughout the continent. The neces- sary expertise and infrastructure do not exceed the capabilities of the average African university School of Pharmacy. Toen wy in Oktober omtrent den Coperbergh quamen, weird door alle man ‘tselvs op d’omliggende bergen (tot voorraad vant geheele jaar) ingesamelt ‘t welck zy gelijk d’Indianers den betel of areck gebruijcken, synde seer vroolijk van humeur, meest alle avonden in haer ‘tsamenkomst. The Traditional Medical Practitioner in Zimbabwe: His principles of practice and pharmacopoeia.

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